LISA MARIE FORKELL (NPI# 1801413570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801413570 |
| Entity Type | Individual |
| Full Name | LISA MARIE FORKELL |
| Practice Address |
480 Galletti Way Bldg 8 Sparks NV 89431-5564 |
| Practice Telephone | 7756881633 |
| Practice Fax Number | 7756881640 |
| Mailing Telephone | 7556881633 |
| Mailing Fax Number | 7756881640 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
819395 | NV | Nursing Service Providers |
| Street Address |
480 GALLETTI WAY BLDG 8 |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831409382 | Kristen Ellen Goff | Rehabilitation Practitioner | 480 Galletti Way Bldg 8, Sparks, NV 89431-5564 | 2010-10-18 |
| 1962956466 | Christopher Christiano | Registered Nurse | 480 Galletti Way Bldg 8, Sparks, NV 89431-5564 | 2016-08-12 |
| 1811297344 | Thomas S Stephens | Rehabilitation Practitioner | 480 Galletti Way Bldg 8, Sparks, NV 89431-5564 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138921 | Kyle Coss | Registered Nurse | 480 Galletti Way Bldg 8n, Sparks, NV 89431-5564 | 2020-06-16 |
| 1861020372 | Mary Ann Leglise | Registered Nurse | 480 Galletti Way Bldg 8n, Sparks, NV 89431-5564 | 2020-03-30 |
| 1245613421 | Kathleen Mary Cavka | Registered Nurse | 480 Galletti Way, 8n, Sparks, NV 89431-5564 | 2015-07-07 |
| 1346501988 | Laura Dasmann | Registered Nurse | 480 Galletti Way, Building 8n, Sparks, NV 89431-5564 | 2012-05-30 |
| 1881968238 | Dana Lyn Block | Registered Nurse | 480 Galletti Way, Bldg 8n, Sparks, NV 89431-5564 | 2012-03-02 |
| 1316018849 | Kathleen Stevenson | Registered Nurse | 480 Galletti Way, Bldg 8a, Sparks, NV 89431-5564 | 2006-11-13 |
| 1043382518 | Katherine J. Barrett | Registered Nurse | 480 Galletti Way, Bldg. 8a, Sparks, NV 89431-5564 | 2006-11-13 |
| 1922179449 | Kara Shumsky | Registered Nurse | 480 Galletti Way, Sparks, NV 89431-5564 | 2006-11-13 |
| 1891867321 | Margaret Frances Butler | Registered Nurse | 480 Galletti Way, Building 8a, Sparks, NV 89431-5564 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527850 | Tatiana Roman | Registered Nurse | 1840 Goose Creek Pl, Las Vegas, NV 89108-2522 | 2020-10-30 |
| 1528509015 | Lisa Morris | Registered Nurse | 3595 Hwy. 50 West, Suite 3, Silver Springs, NV 89429 | 2017-03-16 |
| 1346641883 | Whytny Coller | Registered Nurse | 7800 S Rainbow Blvd Apt 2104, Las Vegas, NV 89139-6214 | 2014-09-15 |
| 1124377684 | Kimberly Alice Van Meter | Registered Nurse | 6375 W Charleston Blvd., Ste. A100, Las Vegas, NV 89146 | 2012-08-30 |
| 1396078044 | Ronnie Darrin Marshall | Registered Nurse | 390 Talus Way, Reno, NV 89503-1216 | 2009-09-14 |
| 1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1104423615 | Cleonne Lucien-ferdinand | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-07 |
| 1225661002 | Joshua Gainey | Registered Nurse | 6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126 | 2020-02-19 |
| 1437780996 | Eva Maria Rivera | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-02-03 |
| 1699305953 | Margy Espinosa | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.